Kimberly Anglin, FNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

619677 Issued in TX

Practice address

1500 S Coulter St
Amarillo, TX 79106-1791

Phone

(806) 354-0404

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanglin300644@ahs.direct-ci.com
• Direct secure messaging: kimberly.anglin.1@33715.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944

  TX

  Medicare reassignment NPD
• FMC Medical Foundation, Inc

  • Pediatrics Physician
  • Amarillo, TX
  • NPI 1003825852
  NPD (past)
• FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1104255272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1104844950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061791",
            "telephone_number": "806-354-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061791",
            "telephone_number": "806-354-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "619677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Andrew, MD
• Ashli N Andrews, LCSW
• Randolph J Andrews, DC
• Courtni Andrus, N.P.
• Anesthetic Solutions LLP
• Nabila Nowshin Anika, MD
• Anjali Kherdekar Professional Association
• Josh Taylor Annett, CRNA
• Leigh Anselmo
• Saumya Antony, MSN PMHNP-BC, APRN

• All providers in Amarillo, TX
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.